NPI | 1346649233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13771) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH Sp.11164) |
Enumeration Date | 2014-08-18 |
Last Update Date | 2022-07-27 |