NPI | 1043795321 |
---|---|
Former Name | NISHMA FARNUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004174) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 26666) |
Enumeration Date | 2018-10-02 |
Last Update Date | 2021-01-26 |