NPI | 1487903944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3715-154) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM SAH-2023-0033) |
235Z00000X Speech-Language Pathologist, (Licence: IA 074630) | |
235Z00000X Speech-Language Pathologist, (Licence: IL 146016072) | |
Enumeration Date | 2012-08-30 |
Last Update Date | 2024-02-20 |