NPI | 1407440589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 18710) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 23377) |
235Z00000X Speech-Language Pathologist, (Licence: SC 4819) | |
Enumeration Date | 2021-03-01 |
Last Update Date | 2021-03-01 |