NPI | 1518487495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA18874) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SZ9521) |
Enumeration Date | 2017-06-22 |
Last Update Date | 2021-03-23 |