NPI | 1649721218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60818321) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7890) |
235Z00000X Speech-Language Pathologist, (Licence: FL SA15716) | |
Enumeration Date | 2016-10-19 |
Last Update Date | 2024-02-29 |