NPI | 1578134821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21306) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10071) |
Enumeration Date | 2021-07-08 |
Last Update Date | 2023-09-21 |