NPI | 1275059867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004217) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109281) |
235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00930100) | |
Enumeration Date | 2017-08-16 |
Last Update Date | 2024-02-29 |