NPI | 1235747783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2020029629) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003994) |
235Z00000X Speech-Language Pathologist, (Licence: NV SP-2681) | |
Enumeration Date | 2020-07-21 |
Last Update Date | 2020-12-12 |