NPI | 1174281745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP22016) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 14395) |
235Z00000X Speech-Language Pathologist, (Licence: CT 7108) | |
Enumeration Date | 2021-12-01 |
Last Update Date | 2023-01-23 |