NPI | 1346784261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7464) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 10670) |
Enumeration Date | 2016-12-12 |
Last Update Date | 2023-06-05 |