NPI | 1316481047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14110220) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002597) |
Enumeration Date | 2016-12-14 |
Last Update Date | 2023-03-29 |