NPI | 1144829730 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 004266) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 0044501) |
Enumeration Date | 2020-10-23 |
Last Update Date | 2021-02-27 |