NPI | 1871878348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12367) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
235Z00000X Speech-Language Pathologist, (Licence: IL 146.010190) | |
Enumeration Date | 2011-10-17 |
Last Update Date | 2022-08-05 |