NPI | 1851835052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16111) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7967) |
Enumeration Date | 2016-12-07 |
Last Update Date | 2021-12-14 |