NPI | 1245583012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111277) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005706A) |
235Z00000X Speech-Language Pathologist, (Licence: TN 4562) | |
Enumeration Date | 2012-10-18 |
Last Update Date | 2023-07-10 |