NPI | 1245795681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005267) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 28241) |
Enumeration Date | 2019-02-08 |
Last Update Date | 2023-05-15 |