NPI | 1457967028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3683) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 117440) |
Enumeration Date | 2020-09-19 |
Last Update Date | 2024-01-02 |