NPI | 1043884703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10342) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI4113) |
235Z00000X Speech-Language Pathologist, (Licence: FL SA20733) | |
Enumeration Date | 2021-05-18 |
Last Update Date | 2022-08-30 |