NPI | 1770600298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 10260) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10145) |
235Z00000X Speech-Language Pathologist, (Licence: SC 4879) | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2023-02-07 |