NPI | 1366090920 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18091) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9215) |
Enumeration Date | 2019-08-27 |
Last Update Date | 2022-08-17 |