NPI | 1407200058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18903) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000083) |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2016-04-20 |
Last Update Date | 2022-06-30 |