NPI | 1275919763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SAH-2024-0348) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 5783) |
235Z00000X Speech-Language Pathologist, (Licence: NM 23010) | |
Enumeration Date | 2015-08-06 |
Last Update Date | 2024-09-10 |