NPI | 1265035026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sz9579) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 2909) |
235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005601) | |
Enumeration Date | 2020-11-16 |
Last Update Date | 2024-09-27 |