NPI | 1285480251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.016668) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 222328) |
Enumeration Date | 2024-04-29 |
Last Update Date | 2024-04-29 |