NPI | 1447687280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13257) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6452) |
Enumeration Date | 2013-10-10 |
Last Update Date | 2021-01-08 |