NPI | 1144826405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O4-0010720) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 11555) |
Enumeration Date | 2020-12-10 |
Last Update Date | 2025-06-06 |