NPI | 1043808645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19673) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9927) |
Enumeration Date | 2021-01-08 |
Last Update Date | 2022-05-12 |