NPI | 1881016301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 22349) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 8827) |
Enumeration Date | 2014-01-17 |
Last Update Date | 2022-07-15 |