NPI | 1083105589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24434584) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146015147) |
Enumeration Date | 2018-05-21 |
Last Update Date | 2024-02-26 |