NPI | 1437757846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL 12243) |
Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: FL 4516) |
Enumeration Date | 2020-10-16 |
Last Update Date | 2024-09-26 |