NPI | 1093187478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2145) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008038) |
Enumeration Date | 2015-10-26 |
Last Update Date | 2020-10-15 |