NPI | 1760917314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61365064) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 28912) |
235Z00000X Speech-Language Pathologist, (Licence: MO 2016036320) | |
Enumeration Date | 2017-04-20 |
Last Update Date | 2024-09-11 |