NPI | 1174041222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60675102) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 22058) |
235Z00000X Speech-Language Pathologist, (Licence: OR 015495) | |
235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2975) | |
Enumeration Date | 2017-09-08 |
Last Update Date | 2023-06-14 |