NPI | 1598063752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007826) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10844) |
Enumeration Date | 2011-03-11 |
Last Update Date | 2022-07-21 |