NPI | 1528610847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30784) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 60972333) |
Enumeration Date | 2019-07-16 |
Last Update Date | 2021-11-17 |