NPI | 1588063408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2015026297) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 22124) |
Enumeration Date | 2014-08-15 |
Last Update Date | 2023-08-29 |