NPI | 1083230791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7584) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 7231) |
235Z00000X Speech-Language Pathologist, (Licence: NC 15014) | |
Enumeration Date | 2020-06-18 |
Last Update Date | 2021-08-08 |