NPI | 1508047796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9858) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 4307) |
Enumeration Date | 2007-11-16 |
Last Update Date | 2023-05-16 |