NPI | 1023668043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18460) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9296) |
Enumeration Date | 2019-09-12 |
Last Update Date | 2020-11-17 |