NPI | 1992431423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21731) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10757) |
Enumeration Date | 2022-07-27 |
Last Update Date | 2023-07-24 |