NPI | 1174944193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14965) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2218) |
235Z00000X Speech-Language Pathologist, (Licence: FL SZ7368) | |
Enumeration Date | 2013-12-17 |
Last Update Date | 2020-01-16 |