NPI | 1902402787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0011848) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
235Z00000X Speech-Language Pathologist, (Licence: PA SL014738) | |
Enumeration Date | 2020-12-08 |
Last Update Date | 2024-09-13 |