NPI | 1164931796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17427) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8217) |
Enumeration Date | 2017-09-26 |
Last Update Date | 2022-08-02 |