NPI | 1669811048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13253) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6232) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2024-06-05 |