NPI | 1174107775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11159) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI4177) |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2021-05-10 |
Last Update Date | 2023-01-27 |