NPI | 1699198382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13755) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6573) |
Enumeration Date | 2014-01-30 |
Last Update Date | 2024-03-22 |