NPI | 1881980001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61532804) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146009657) |
Enumeration Date | 2011-06-27 |
Last Update Date | 2024-03-27 |