NPI | 1255054722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 20944) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 9338) |
Enumeration Date | 2022-09-20 |
Last Update Date | 2022-11-30 |