NPI | 1669093464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30117) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 13631) |
Enumeration Date | 2020-05-03 |
Last Update Date | 2020-08-10 |