NPI | 1336795756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-1814) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI 14255974) |
Enumeration Date | 2019-08-12 |
Last Update Date | 2022-04-25 |