NPI | 1669827895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 116416) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA SPA #3458) |
Enumeration Date | 2016-04-25 |
Last Update Date | 2022-09-06 |