NPI | 1265846588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14254) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7033) |
235Z00000X Speech-Language Pathologist, (Licence: FL SI2406) | |
Enumeration Date | 2014-06-14 |
Last Update Date | 2022-02-27 |