NPI | 1821422650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6750) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA 011316) |
235Z00000X Speech-Language Pathologist, (Licence: NC 13772) | |
235Z00000X Speech-Language Pathologist, (Licence: MD 04206) | |
Enumeration Date | 2013-08-28 |
Last Update Date | 2023-08-07 |