NPI | 1144760745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16476) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7958) |
Enumeration Date | 2017-03-01 |
Last Update Date | 2022-03-29 |