NPI | 1093250656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9928) |
Additional Taxonomies | 247200000X Technician, Other (Licence: FL S220-010-95-762-0) |
Enumeration Date | 2017-01-05 |
Last Update Date | 2021-01-19 |