NPI | 1689227514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18247) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9303) |
Enumeration Date | 2019-07-19 |
Last Update Date | 2020-08-17 |