NPI | 1093337230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 17834) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-9724) |
235Z00000X Speech-Language Pathologist, (Licence: MT MT-SLP-SP-LIC-9724) | |
Enumeration Date | 2020-05-11 |
Last Update Date | 2024-05-17 |