NPI | 1356801146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16977) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61183769) |
Enumeration Date | 2019-03-20 |
Last Update Date | 2021-06-24 |