NPI | 1720633670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14153687) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0003719) |
Enumeration Date | 2019-08-07 |
Last Update Date | 2023-10-24 |