NPI | 1417315581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 14296) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 024325-1) |
235Z00000X Speech-Language Pathologist, (Licence: MA 9409) | |
Enumeration Date | 2016-02-04 |
Last Update Date | 2020-06-25 |