NPI | 1477218154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP13432) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13250) |
Enumeration Date | 2021-11-08 |
Last Update Date | 2023-05-16 |