NPI | 1952723728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA23294) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60434542) |
235Z00000X Speech-Language Pathologist, (Licence: PA SL011462) | |
Enumeration Date | 2014-01-14 |
Last Update Date | 2025-05-14 |