NPI | 1245808450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 34475) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 19769) |
235Z00000X Speech-Language Pathologist, (Licence: TX 118091) | |
Enumeration Date | 2021-06-14 |
Last Update Date | 2023-05-15 |