NPI | 1033632476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134044) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0122531-PROV) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2022-07-19 |