NPI | 1659491017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA4206) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2007-03-30 |
Last Update Date | 2014-04-01 |