NPI | 1588199566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17524) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI 3147) |
235Z00000X Speech-Language Pathologist, (Licence: FL SZ8856) | |
Enumeration Date | 2017-04-27 |
Last Update Date | 2019-11-15 |