NPI | 1699289082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AL 3936) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: 14093036) |
Enumeration Date | 2017-11-22 |
Last Update Date | 2022-10-27 |