NPI | 1942723101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16254) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8047) |
235Z00000X Speech-Language Pathologist, (Licence: SA16254) | |
Enumeration Date | 2017-07-19 |
Last Update Date | 2025-01-06 |