NPI | 1598115164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7886) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6000) |
Enumeration Date | 2016-06-15 |
Last Update Date | 2023-05-26 |