NPI | 1518500131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 33572) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09086) |
Enumeration Date | 2019-10-27 |
Last Update Date | 2022-08-18 |