NPI | 1689062382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14302) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6970) |
Enumeration Date | 2015-01-03 |
Last Update Date | 2025-05-02 |