NPI | 1033663703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 173237) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5937) |
Enumeration Date | 2016-08-10 |
Last Update Date | 2020-06-02 |