NPI | 1508431297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005066) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10049) |
Enumeration Date | 2021-05-25 |
Last Update Date | 2024-05-28 |