NPI | 1104351022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004535) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146028590) |
235Z00000X Speech-Language Pathologist, (Licence: IN 22006444A) | |
Enumeration Date | 2017-04-28 |
Last Update Date | 2025-09-25 |