NPI | 1689715492 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10314) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#1913) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2021-08-19 |