NPI | 1720322456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9108) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA 9108) |
Enumeration Date | 2012-11-19 |
Last Update Date | 2022-04-01 |