NPI | 1265063515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008530) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 7009) |
Enumeration Date | 2020-01-27 |
Last Update Date | 2025-08-20 |