NPI | 1922148451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa 1206) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2007-02-07 |
Last Update Date | 2025-02-16 |