NPI | 1023595006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA-6804) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: GA SLP009619) |
Enumeration Date | 2018-07-23 |
Last Update Date | 2021-12-08 |