NPI | 1093419400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005919) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL Pending) |
235Z00000X Speech-Language Pathologist, (Licence: FL SZ11282) | |
Enumeration Date | 2023-03-29 |
Last Update Date | 2024-07-29 |