NPI | 1497113658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA15362) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SZ7457) |
Enumeration Date | 2016-02-03 |
Last Update Date | 2021-05-06 |