NPI | 1902232036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2020016125) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 18335) |
235Z00000X Speech-Language Pathologist, (Licence: KS 4793) | |
Enumeration Date | 2013-09-20 |
Last Update Date | 2023-05-10 |