NPI | 1336547082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 29496) |
Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: CA 3030) |
Enumeration Date | 2014-12-11 |
Last Update Date | 2022-02-25 |