NPI | 1235626623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa15555) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 29754) |
Enumeration Date | 2018-04-20 |
Last Update Date | 2024-12-11 |