NPI | 1538491543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007438) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10292) |
Enumeration Date | 2010-02-02 |
Last Update Date | 2022-07-21 |