NPI | 1922479484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005162) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 24730) |
235Z00000X Speech-Language Pathologist, (Licence: CA 10267) | |
Enumeration Date | 2015-10-09 |
Last Update Date | 2023-04-04 |