NPI | 1770832289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA12512) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SZ5898) |
Enumeration Date | 2012-08-30 |
Last Update Date | 2022-11-06 |