NPI | 1558086504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 100820) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 2409) |
Enumeration Date | 2022-10-11 |
Last Update Date | 2024-06-26 |