NPI | 1154129336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0006374) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0001245) |
Enumeration Date | 2025-03-04 |
Last Update Date | 2025-08-29 |