NPI | 1700017159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA 9973) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA 9973) |
Enumeration Date | 2009-08-03 |
Last Update Date | 2016-03-15 |