NPI | 1063275907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0004001) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 024824) |
Enumeration Date | 2024-02-02 |
Last Update Date | 2024-02-02 |