NPI | 1275082398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 11225) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6121) |
Enumeration Date | 2016-09-30 |
Last Update Date | 2024-12-12 |