NPI | 1447891817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09510) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01926L) |
Enumeration Date | 2019-10-07 |
Last Update Date | 2020-11-18 |