NPI | 1902184559 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17048) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI1966) |
235Z00000X Speech-Language Pathologist, (Licence: FL SZ8513) | |
Enumeration Date | 2011-08-01 |
Last Update Date | 2019-04-27 |