NPI | 1588175483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002992) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI SP01377) |
Enumeration Date | 2017-10-18 |
Last Update Date | 2024-08-09 |