NPI | 1801218433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20132) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134112) |
235Z00000X Speech-Language Pathologist, (Licence: FL SA12742) | |
Enumeration Date | 2014-01-16 |
Last Update Date | 2022-04-27 |