NPI | 1316686934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL 21335) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL 10507) |
Enumeration Date | 2022-06-01 |
Last Update Date | 2023-06-07 |