NPI | 1912683350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21347) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015153) |
Enumeration Date | 2023-06-22 |
Last Update Date | 2023-06-22 |