NPI | 1124849369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S-5405) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 202884) |
Enumeration Date | 2024-10-21 |
Last Update Date | 2025-07-14 |