NPI | 1174060354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012900) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1965) |
Enumeration Date | 2017-01-25 |
Last Update Date | 2023-02-25 |