NPI | 1184083859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14626) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07702) |
Enumeration Date | 2016-02-23 |
Last Update Date | 2022-07-21 |