NPI | 1659624542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11447) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA11447) |
Enumeration Date | 2012-10-17 |
Last Update Date | 2013-02-20 |