NPI | 1164075800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61077307) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID TSLP-3945) |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2019-07-22 |
Last Update Date | 2021-06-03 |