NPI | 1346888252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 04391) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 03491) |
Enumeration Date | 2019-12-11 |
Last Update Date | 2019-12-11 |