NPI | 1235602921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7338) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-2077) |
235Z00000X Speech-Language Pathologist, (Licence: CA 33686) | |
235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005065) | |
Enumeration Date | 2019-01-06 |
Last Update Date | 2024-09-27 |