NPI | 1386156602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0002104) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 31861) |
235Z00000X Speech-Language Pathologist (Licence: TX 118042) | |
235Z00000X Speech-Language Pathologist (Licence: MT 11676) | |
235Z00000X Speech-Language Pathologist (Licence: MA 78566) | |
235Z00000X Speech-Language Pathologist (Licence: NC 15388) | |
Enumeration Date | 2017-10-26 |
Last Update Date | 2023-11-20 |