NPI | 1699319087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18472) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9387) |
Enumeration Date | 2019-10-29 |
Last Update Date | 2020-10-26 |