NPI | 1528549797 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010634) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET002795) |
Enumeration Date | 2018-08-27 |
Last Update Date | 2024-10-21 |