NPI | 1922762608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL Sl4979) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL Sl4979) |
Enumeration Date | 2021-10-28 |
Last Update Date | 2021-10-28 |