NPI | 1144892084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61265913) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4343) |
Enumeration Date | 2021-07-12 |
Last Update Date | 2023-08-31 |