NPI | 1205503810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-2347-0) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 14284846) |
Enumeration Date | 2021-08-23 |
Last Update Date | 2024-09-11 |