NPI | 1922490028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17656) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
235Z00000X Speech-Language Pathologist, (Licence: FL sz8497) | |
Enumeration Date | 2015-02-26 |
Last Update Date | 2021-03-26 |