NPI | 1265168801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 5769) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-1274) |
Enumeration Date | 2022-07-26 |
Last Update Date | 2025-03-13 |