NPI | 1285396457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11412) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SI3730) |
Enumeration Date | 2021-10-06 |
Last Update Date | 2023-08-07 |