NPI | 1134746274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 7483) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 029817) |
235Z00000X Speech-Language Pathologist, (Licence: OH SP.13945) | |
Enumeration Date | 2020-07-05 |
Last Update Date | 2024-02-27 |