NPI | 1538550215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19519) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.003365) |
Enumeration Date | 2015-02-17 |
Last Update Date | 2024-04-29 |