NPI | 1225560493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002770) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 026097) |
235Z00000X Speech-Language Pathologist, (Licence: MA 9979) | |
Enumeration Date | 2017-03-28 |
Last Update Date | 2022-12-07 |