NPI | 1538467725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 21291) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 2025-0066) |
235Z00000X Speech-Language Pathologist, (Licence: CA 29802) | |
Enumeration Date | 2011-03-11 |
Last Update Date | 2025-09-18 |