NPI | 1003499971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL016346) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0012139) |
235Z00000X Speech-Language Pathologist, (Licence: CA SP33373) | |
Enumeration Date | 2021-04-29 |
Last Update Date | 2023-08-11 |