NPI | 1902584063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003454) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11299) |
Enumeration Date | 2023-07-10 |
Last Update Date | 2024-10-15 |