NPI | 1821129636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 201637) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 4766) |
235Z00000X Speech-Language Pathologist, (Licence: FL SA 8553) | |
Enumeration Date | 2007-03-07 |
Last Update Date | 2024-08-13 |