NPI | 1659870558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 013183) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 37387) |
Enumeration Date | 2018-02-06 |
Last Update Date | 2024-08-06 |