NPI | 1770922361 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3956-154) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3969) |
235Z00000X Speech-Language Pathologist, (Licence: VA 2202007037) | |
Enumeration Date | 2013-06-18 |
Last Update Date | 2024-08-16 |