NPI | 1548662463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 29844) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 4182) |
235Z00000X Speech-Language Pathologist, (Licence: OK 5935) | |
Enumeration Date | 2014-09-23 |
Last Update Date | 2023-03-30 |