NPI | 1003140799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa10277) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 4567) |
Enumeration Date | 2009-09-28 |
Last Update Date | 2023-07-10 |