NPI | 1508438912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL017364) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134624) |
Enumeration Date | 2021-07-14 |
Last Update Date | 2023-12-03 |