NPI | 1659829968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18259) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8965) |
Enumeration Date | 2016-09-15 |
Last Update Date | 2022-04-11 |