NPI | 1053409417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 1453) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 1453) |
225X00000X Occupational Therapist (Licence: NC 1453) | |
Enumeration Date | 2006-10-11 |
Last Update Date | 2025-09-11 |