NPI | 1487217758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 28357) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 16927) |
Enumeration Date | 2019-04-22 |
Last Update Date | 2021-10-07 |