NPI | 1154614998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 18481) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06545) |
Enumeration Date | 2011-05-26 |
Last Update Date | 2023-02-01 |