NPI | 1477030260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18851) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 25423) |
Enumeration Date | 2018-07-24 |
Last Update Date | 2022-12-13 |