NPI | 1699551408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005971) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP0001109) |
Enumeration Date | 2023-09-06 |
Last Update Date | 2024-06-13 |