NPI | 1114691821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10328) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02355L) |
Enumeration Date | 2021-08-05 |
Last Update Date | 2023-09-21 |