NPI | 1942288766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6994) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA6992) |
Enumeration Date | 2006-01-03 |
Last Update Date | 2011-05-23 |