NPI | 1225685068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2019032692) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 5418) |
Enumeration Date | 2019-08-26 |
Last Update Date | 2023-11-01 |