NPI | 1780464081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21787) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 35381) |
Enumeration Date | 2023-10-03 |
Last Update Date | 2023-10-03 |