NPI | 1558939504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22007419A) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 270925) |
Enumeration Date | 2021-06-16 |
Last Update Date | 2022-09-16 |