NPI | 1033729389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19635) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9887) |
Enumeration Date | 2020-08-02 |
Last Update Date | 2021-10-15 |