NPI | 1427624915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15502) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10083) |
Enumeration Date | 2021-06-03 |
Last Update Date | 2022-08-26 |