NPI | 1538456009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005484A) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105795) |
Enumeration Date | 2011-07-06 |
Last Update Date | 2023-01-11 |