NPI | 1710619358 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21526) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10683) |
Enumeration Date | 2022-06-30 |
Last Update Date | 2023-09-19 |