NPI | 1528509536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19277) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 110922) |
235Z00000X Speech-Language Pathologist, (Licence: NY 027070) | |
Enumeration Date | 2017-03-10 |
Last Update Date | 2023-02-21 |