NPI | 1164110284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP-2023-0118) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH UD191165) |
Enumeration Date | 2023-04-26 |
Last Update Date | 2023-05-31 |