NPI | 1427587427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16752) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8062) |
Enumeration Date | 2017-06-05 |
Last Update Date | 2022-07-21 |