NPI | 1255935961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7220) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003103) |
Enumeration Date | 2020-11-23 |
Last Update Date | 2024-01-04 |