NPI | 1831641984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12486) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SP60602995) |
Enumeration Date | 2016-10-25 |
Last Update Date | 2024-10-22 |