NPI | 1932864659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21694) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10485) |
Enumeration Date | 2021-11-08 |
Last Update Date | 2023-07-17 |