NPI | 1801418678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17400) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 5148) |
235Z00000X Speech-Language Pathologist, (Licence: UT 12031850-4102) | |
Enumeration Date | 2020-05-14 |
Last Update Date | 2021-04-23 |