NPI | 1932794302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 61152323) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242005832) |
Enumeration Date | 2021-03-07 |
Last Update Date | 2021-09-08 |