NPI | 1285221408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 3016089) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2020-12-22 |
Last Update Date | 2025-05-06 |