NPI | 1316519770 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20644) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI4880) |
235Z00000X Speech-Language Pathologist, (Licence: FL SZ10371) | |
Enumeration Date | 2021-07-14 |
Last Update Date | 2022-08-16 |