NPI | 1942813647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 8975) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S4693) |
Enumeration Date | 2020-08-24 |
Last Update Date | 2022-02-22 |