NPI | 1972723302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8814) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2007-04-26 |
Last Update Date | 2011-03-10 |