NPI | 1700388600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8089) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 9184) |
235Z00000X Speech-Language Pathologist, (Licence: FL 15255) | |
Enumeration Date | 2018-03-06 |
Last Update Date | 2025-05-04 |