NPI | 1427587591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa16074) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL sz8067) |
Enumeration Date | 2017-06-12 |
Last Update Date | 2023-04-06 |