NPI | 1497154199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14573) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV P/SLP-0598) |
Enumeration Date | 2014-08-19 |
Last Update Date | 2019-08-14 |