NPI | 1669629606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 6312) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA6312) |
Enumeration Date | 2008-08-21 |
Last Update Date | 2025-02-19 |