NPI | 1659134310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OR 18066) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SA21992) |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-02-05 |