NPI | 1003328949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60878683) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 027776) |
Enumeration Date | 2017-11-01 |
Last Update Date | 2023-08-24 |