NPI | 1235846973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 202819) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 120401) |
Enumeration Date | 2022-11-02 |
Last Update Date | 2025-08-18 |