NPI | 1447830021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30001907) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 8757) |
Enumeration Date | 2021-04-08 |
Last Update Date | 2023-06-12 |