NPI | 1033693676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17300) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8853) |
Enumeration Date | 2018-09-19 |
Last Update Date | 2021-03-09 |