NPI | 1144837550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012805) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005792) |
Enumeration Date | 2020-09-29 |
Last Update Date | 2024-03-07 |