NPI | 1003207564 |
---|---|
Former Name | AZMINA BACHELANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9318) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3993-154) |
Enumeration Date | 2015-02-05 |
Last Update Date | 2020-07-07 |