NPI | 1326552498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 17710) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 23247) |
Enumeration Date | 2017-11-27 |
Last Update Date | 2024-05-20 |