NPI | 1245899947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL016420) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08884) |
Enumeration Date | 2019-06-07 |
Last Update Date | 2023-11-27 |