NPI | 1407554868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 19809) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 33220) |
Enumeration Date | 2023-02-15 |
Last Update Date | 2023-02-15 |