NPI | 1265151666 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13048) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 11347) |
Enumeration Date | 2022-08-26 |
Last Update Date | 2024-11-12 |