NPI | 1467779264 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA14297) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLPL4487) |
Enumeration Date | 2010-05-03 |
Last Update Date | 2023-04-08 |