NPI | 1639543770 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30001876) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001101) |
Enumeration Date | 2015-11-29 |
Last Update Date | 2024-08-13 |