NPI | 1508431347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10396) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 201412) |
Enumeration Date | 2021-05-24 |
Last Update Date | 2022-03-26 |