NPI | 1699268599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17148) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 8551) |
Enumeration Date | 2018-06-14 |
Last Update Date | 2022-09-27 |