NPI | 1700316866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21383) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 13440520-4102) |
235Z00000X Speech-Language Pathologist, (Licence: NY 027616) | |
235Z00000X Speech-Language Pathologist, (Licence: TN 0000006690) | |
Enumeration Date | 2017-06-12 |
Last Update Date | 2023-10-03 |