NPI | 1144072919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL016111) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA 14230028) |
Enumeration Date | 2024-04-03 |
Last Update Date | 2024-04-03 |