NPI | 1770132870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18317) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9294) |
Enumeration Date | 2019-09-10 |
Last Update Date | 2020-10-27 |