NPI | 1588397624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PR 4145) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 333778) |
Enumeration Date | 2022-07-06 |
Last Update Date | 2022-08-30 |