NPI | 1700477098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015979) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O4-001068) |
Enumeration Date | 2021-01-29 |
Last Update Date | 2021-09-29 |