NPI | 1063893840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009225) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002182) |
Enumeration Date | 2015-06-17 |
Last Update Date | 2022-12-14 |