NPI | 1174053631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 1805) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017016063) |
Enumeration Date | 2017-06-18 |
Last Update Date | 2024-01-24 |