NPI | 1104437094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21396) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242005589) |
235Z00000X Speech-Language Pathologist, (Licence: TN 7762) | |
Enumeration Date | 2020-08-13 |
Last Update Date | 2023-10-03 |