NPI | 1487279279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 201098) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 6367) |
Enumeration Date | 2020-06-08 |
Last Update Date | 2020-07-01 |