NPI | 1407353451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0004238) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP26312) |
Enumeration Date | 2018-04-06 |
Last Update Date | 2023-11-29 |