NPI | 1013657980 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: RI SP00322) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2022-03-30 |
Last Update Date | 2022-03-30 |