NPI | 1033528054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10374) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA24972) |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2014-08-04 |
Last Update Date | 2021-09-14 |