NPI | 1679037287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21000) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10380) |
Enumeration Date | 2019-01-28 |
Last Update Date | 2023-01-25 |