NPI | 1275104689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20712) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL si4832) |
235Z00000X Speech-Language Pathologist, (Licence: FL SZ10356) | |
Enumeration Date | 2021-07-07 |
Last Update Date | 2022-08-30 |