NPI | 1558738518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6184) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 4624) |
235Z00000X Speech-Language Pathologist, (Licence: PA SL012530) | |
Enumeration Date | 2015-08-26 |
Last Update Date | 2022-07-21 |