NPI | 1407469794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19834) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9724) |
Enumeration Date | 2020-08-26 |
Last Update Date | 2023-01-25 |