NPI | 1548794597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15680) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7684) |
Enumeration Date | 2017-04-17 |
Last Update Date | 2018-06-12 |