NPI | 1437621869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21901) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV 2877) |
Enumeration Date | 2018-12-24 |
Last Update Date | 2021-07-23 |