NPI | 1629523808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SA16394) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI 2973) |
235Z00000X Speech-Language Pathologist, (Licence: FL SZ8206) | |
Enumeration Date | 2016-08-17 |
Last Update Date | 2024-05-23 |