NPI | 1124802889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SAH-2023-0008) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM SAH20230008) |
Enumeration Date | 2023-08-23 |
Last Update Date | 2024-02-07 |