NPI | 1700011715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 12156718) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2009-05-19 |
Last Update Date | 2018-05-30 |