NPI | 1043556152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 10614) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI 1232) |
Enumeration Date | 2012-12-17 |
Last Update Date | 2023-07-17 |