NPI | 1225801384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61483039) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22008923A) |
Enumeration Date | 2023-10-31 |
Last Update Date | 2024-12-23 |