NPI | 1942058219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP19839) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL016909) |
Enumeration Date | 2024-05-10 |
Last Update Date | 2024-05-10 |