NPI | 1861810020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13367) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6441) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2024-08-25 |