NPI | 1336483346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15617) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242002509) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2022-09-15 |