NPI | 1932761269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 30252) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 13539) |
Enumeration Date | 2019-07-08 |
Last Update Date | 2020-06-19 |