NPI | 1952815672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004310) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242004618) |
Enumeration Date | 2017-11-17 |
Last Update Date | 2024-02-14 |