NPI | 1194275743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000729) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 25035) |
235Z00000X Speech-Language Pathologist, (Licence: AZ SLP10369) | |
Enumeration Date | 2016-10-06 |
Last Update Date | 2024-09-09 |