NPI | 1558959528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12808) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP12808) |
2355S0801X Specialist/Technologist, Speech-Language Assistant | |
Enumeration Date | 2021-01-05 |
Last Update Date | 2022-07-26 |