NPI | 1174216766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 8708) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 14360672) |
Enumeration Date | 2023-05-30 |
Last Update Date | 2023-05-30 |