NPI | 1023781978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 3010804) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 7487) |
Enumeration Date | 2021-07-27 |
Last Update Date | 2022-04-30 |