NPI | 1093298648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 9662) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 77309) |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2018-09-10 |
Last Update Date | 2023-10-20 |