NPI | 1538638283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06481) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL014176) |
Enumeration Date | 2018-11-23 |
Last Update Date | 2020-11-17 |