NPI | 1902652415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA22522) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146016913) |
Enumeration Date | 2024-04-25 |
Last Update Date | 2024-06-07 |