NPI | 1154906501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 31422) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-1852) |
235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00931900) | |
Enumeration Date | 2021-03-16 |
Last Update Date | 2023-01-18 |