NPI | 1386199180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10192) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA SPA 2834) |
Enumeration Date | 2016-08-22 |
Last Update Date | 2024-10-09 |