NPI | 1316560675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 8780) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146015859) |
235Z00000X Speech-Language Pathologist, (Licence: NY 030869) | |
Enumeration Date | 2020-05-21 |
Last Update Date | 2025-04-16 |