NPI | 1669660544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa91037) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA9173) |
235Z00000X Speech-Language Pathologist, (Licence: FL sa9173) | |
Enumeration Date | 2007-10-04 |
Last Update Date | 2023-03-21 |