NPI | 1558660365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11527) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5320) |
Enumeration Date | 2011-03-18 |
Last Update Date | 2025-03-10 |