NPI | 1093160384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 15246) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 7566) |
Enumeration Date | 2016-04-25 |
Last Update Date | 2020-08-27 |