NPI | 1467958173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 16919) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 34686) |
235Z00000X Speech-Language Pathologist, (Licence: AK 200096) | |
Enumeration Date | 2018-04-02 |
Last Update Date | 2023-05-30 |