NPI | 1073166252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09963) |
Enumeration Date | 2019-07-17 |
Last Update Date | 2023-01-31 |