NPI | 1194406967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005963) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0001156) |
235Z00000X Speech-Language Pathologist, (Licence: 14448499) | |
Enumeration Date | 2023-07-26 |
Last Update Date | 2024-06-21 |