NPI | 1679182182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 22321) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 3981) |
Enumeration Date | 2020-07-30 |
Last Update Date | 2024-05-08 |