NPI | 1598316226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004119) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 6614) |
Enumeration Date | 2019-09-24 |
Last Update Date | 2023-07-12 |