NPI | 1164931499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6296) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 37544) |
Enumeration Date | 2017-09-29 |
Last Update Date | 2024-10-23 |