NPI | 1922611987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19770) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61107451) |
Enumeration Date | 2020-08-28 |
Last Update Date | 2022-01-10 |