NPI | 1285142729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015154) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 11995) |
Enumeration Date | 2018-01-18 |
Last Update Date | 2021-11-30 |