NPI | 1972276624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002746) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 28782) |
Enumeration Date | 2021-07-28 |
Last Update Date | 2024-09-16 |