NPI | 1336694892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15457) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7762) |
Enumeration Date | 2016-08-24 |
Last Update Date | 2021-09-30 |