NPI | 1043773351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2015010730) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-1537) |
Enumeration Date | 2019-04-12 |
Last Update Date | 2019-04-12 |