NPI | 1235703752 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 7620) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10033) |
Enumeration Date | 2021-05-19 |
Last Update Date | 2021-09-29 |