NPI | 1376184697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA14281) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM SLPA6936) |
Enumeration Date | 2019-10-08 |
Last Update Date | 2024-11-25 |