NPI | 1043882939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ 14439754) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP13152) |
Enumeration Date | 2021-07-12 |
Last Update Date | 2024-09-12 |