NPI | 1750485330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11107) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5012) |
104100000X Social Worker | |
222Q00000X Developmental Therapist | |
235Z00000X Speech-Language Pathologist, (Licence: AZ 6237) | |
Enumeration Date | 2006-09-12 |
Last Update Date | 2013-04-15 |