NPI | 1902426117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 29593) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15834) |
235Z00000X Speech-Language Pathologist, (Licence: GA SLP010803) | |
Enumeration Date | 2020-04-17 |
Last Update Date | 2020-04-17 |