NPI | 1992073662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18964) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2030) |
235Z00000X Speech-Language Pathologist, (Licence: IL 146016353) | |
235Z00000X Speech-Language Pathologist, (Licence: KS 5175) | |
235Z00000X Speech-Language Pathologist, (Licence: GA SLP012239) | |
Enumeration Date | 2011-12-08 |
Last Update Date | 2023-07-27 |