NPI | 1942402805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 7812) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI 1049) | |
Enumeration Date | 2007-06-04 |
Last Update Date | 2022-09-20 |