NPI | 1659929289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SD 922-SLP) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SD 845) |
Enumeration Date | 2019-08-27 |
Last Update Date | 2022-09-12 |