NPI | 1467653022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9423) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 4115) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2022-10-02 |