NPI | 1457747727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 22853) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 8978) |
Enumeration Date | 2015-04-13 |
Last Update Date | 2022-06-23 |