NPI | 1912362872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL01427) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
Enumeration Date | 2015-12-20 |
Last Update Date | 2020-05-04 |