NPI | 1144710369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6942) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 10659) |
235Z00000X Speech-Language Pathologist, (Licence: NC 13638) | |
Enumeration Date | 2018-05-14 |
Last Update Date | 2025-01-06 |