NPI | 1619357720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE9781) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 14241) |
Enumeration Date | 2015-06-03 |
Last Update Date | 2024-01-09 |