NPI | 1346802881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19098) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9363) |
Enumeration Date | 2019-07-04 |
Last Update Date | 2021-09-24 |