NPI | 1720227473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8600) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA8600) |
Enumeration Date | 2009-02-19 |
Last Update Date | 2009-06-09 |