NPI | 1366978223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-8765) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-TMP-6292) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2020-11-27 |