NPI | 1023371051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SLP6868) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3685-154) |
235Z00000X Speech-Language Pathologist, (Licence: FL SA13454) | |
Enumeration Date | 2012-06-25 |
Last Update Date | 2024-01-03 |