NPI | 1194181461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14428) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6979) |
Enumeration Date | 2016-01-02 |
Last Update Date | 2019-01-30 |