NPI | 1972112951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6491) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2020-07-27 |
Last Update Date | 2024-05-07 |