NPI | 1942583398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA4665) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2011-09-22 |
Last Update Date | 2019-02-05 |