NPI | 1366118457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 17013) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61259854) |
Enumeration Date | 2021-08-18 |
Last Update Date | 2025-03-05 |