NPI | 1598180143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0001505) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 14030448) |
235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001505) | |
Enumeration Date | 2014-02-19 |
Last Update Date | 2022-07-21 |