NPI | 1720218605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 7898) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2009-07-25 |
Last Update Date | 2011-09-30 |