NPI | 1386169993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ 12369) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 3353) |
235Z00000X Speech-Language Pathologist, (Licence: MD 07895) | |
Enumeration Date | 2017-08-04 |
Last Update Date | 2024-10-18 |