NPI | 1457971566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 27767) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 14145106) |
Enumeration Date | 2020-04-17 |
Last Update Date | 2020-05-26 |