NPI | 1376140947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011651) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET003222) |
Enumeration Date | 2020-10-06 |
Last Update Date | 2024-04-12 |