NPI | 1194371757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18475) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9195) |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2019-08-09 |
Last Update Date | 2022-05-25 |