NPI | 1912621020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 22231) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI 2054) |
235Z00000X Speech-Language Pathologist, (Licence: CO 0005081) | |
Enumeration Date | 2022-10-03 |
Last Update Date | 2024-05-13 |