NPI | 1619114584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP14265) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL0003582) |
Enumeration Date | 2009-01-14 |
Last Update Date | 2024-10-01 |