NPI | 1356862825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 108468) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0000232) |
235Z00000X Speech-Language Pathologist, (Licence: CO 0003398) | |
Enumeration Date | 2017-07-05 |
Last Update Date | 2024-10-30 |