NPI | 1023498615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL 3304) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2015-06-09 |
Last Update Date | 2024-05-17 |