NPI | 1437785235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11199) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA111999) |
235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP11199) | |
Enumeration Date | 2020-03-12 |
Last Update Date | 2023-05-10 |