NPI | 1538904529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 5475) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 15766) |
235Z00000X Speech-Language Pathologist, (Licence: IA 098916) | |
Enumeration Date | 2024-07-01 |
Last Update Date | 2024-07-01 |