NPI | 1902243918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30315) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001271) |
Enumeration Date | 2013-05-30 |
Last Update Date | 2023-05-10 |