NPI | 1972744316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9461) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL SA9461) |
Enumeration Date | 2009-03-16 |
Last Update Date | 2014-07-28 |