NPI | 1265184675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP13122) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP13122) |
Enumeration Date | 2022-01-26 |
Last Update Date | 2023-01-10 |