NPI | 1083192835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30228) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI 1952) |
235Z00000X Speech-Language Pathologist, (Licence: NV SP-2371) | |
Enumeration Date | 2018-08-03 |
Last Update Date | 2021-07-21 |