NPI | 1417654336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 34906) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011224) |
235Z00000X Speech-Language Pathologist, (Licence: FL SA19002) | |
Enumeration Date | 2023-02-10 |
Last Update Date | 2025-01-23 |