NPI | 1891345252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015453) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09449) |
Enumeration Date | 2019-09-18 |
Last Update Date | 2023-08-24 |