NPI | 1780093898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SA21105) |
Additional Taxonomies | 104100000X Social Worker |
235Z00000X Speech-Language Pathologist, (Licence: FL SZ10515) | |
Enumeration Date | 2014-08-04 |
Last Update Date | 2024-01-01 |