NPI | 1013713163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21430) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 129941) |
235Z00000X Speech-Language Pathologist, (Licence: OR 18429) | |
Enumeration Date | 2025-02-20 |
Last Update Date | 2025-02-20 |