NPI | 1932518461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002004) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6757) |
235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003239) | |
Enumeration Date | 2014-08-08 |
Last Update Date | 2023-07-12 |