NPI | 1770177826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI5506) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 7523) |
Enumeration Date | 2021-03-01 |
Last Update Date | 2022-06-08 |