NPI | 1508998071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9077) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 3939) |
Enumeration Date | 2007-03-11 |
Last Update Date | 2020-12-11 |