NPI | 1841633054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011363) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 20597) |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2013-04-08 |
Last Update Date | 2023-07-24 |