NPI | 1467011312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 2418) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 703) |
Enumeration Date | 2019-06-12 |
Last Update Date | 2025-02-12 |