NPI | 1831567197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP14726) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 7204397-4102) |
Enumeration Date | 2015-09-03 |
Last Update Date | 2023-08-25 |