NPI | 1659726461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21818) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI 2828) | |
235Z00000X Speech-Language Pathologist, (Licence: FL SZ11057) | |
Enumeration Date | 2016-04-29 |
Last Update Date | 2024-08-15 |