NPI | 1649825910 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24500320) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.013791) |
Enumeration Date | 2019-08-05 |
Last Update Date | 2025-02-20 |