NPI | 1952795296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 6455) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA13646) |
Enumeration Date | 2015-03-25 |
Last Update Date | 2015-07-23 |