NPI | 1366081283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18483) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9406) |
Enumeration Date | 2019-12-23 |
Last Update Date | 2022-07-28 |