NPI | 1750893947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011132) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 27521) |
235Z00000X Speech-Language Pathologist, (Licence: UT 13838336-4102) | |
235Z00000X Speech-Language Pathologist, (Licence: FL SA22645) | |
235Z00000X Speech-Language Pathologist, (Licence: OR 18260) | |
Enumeration Date | 2017-10-29 |
Last Update Date | 2024-10-09 |