NPI | 1881352755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19084) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002399) |
Enumeration Date | 2021-12-07 |
Last Update Date | 2025-09-25 |