NPI | 1841990645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA22565) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA2265) |
Enumeration Date | 2023-03-09 |
Last Update Date | 2024-06-04 |