NPI | 1356750665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SLP23908) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.003107) |
Enumeration Date | 2014-08-12 |
Last Update Date | 2022-10-24 |