NPI | 1487973814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 4776) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5031) |
235Z00000X Speech-Language Pathologist, (Licence: GA SLP007695) | |
Enumeration Date | 2010-05-25 |
Last Update Date | 2023-12-27 |