NPI | 1982839114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL SA3138) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA3138) |
Enumeration Date | 2009-05-18 |
Last Update Date | 2012-02-09 |