NPI | 1073194932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP20123) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022267-1) |
Enumeration Date | 2021-04-21 |
Last Update Date | 2021-11-29 |