NPI | 1033720297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 26165) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 14358) |
Enumeration Date | 2020-08-12 |
Last Update Date | 2022-08-09 |