NPI | 1699836049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 2936) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA2936) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2019-03-20 |