NPI | 1831709328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 108613) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 14496) |
Enumeration Date | 2020-08-09 |
Last Update Date | 2023-11-02 |