NPI | 1881090256 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE 9481) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11755) |
Enumeration Date | 2014-11-13 |
Last Update Date | 2023-08-08 |