NPI | 1548613656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15998) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 7581) |
Enumeration Date | 2016-07-13 |
Last Update Date | 2022-10-18 |