NPI | 1073273587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI4193) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL W524521915480) |
Enumeration Date | 2021-12-23 |
Last Update Date | 2023-04-24 |