NPI | 1003513326 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6148) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 21058) |
Enumeration Date | 2023-02-08 |
Last Update Date | 2023-02-08 |