NPI | 1568849404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 9425) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2015-04-29 |
Last Update Date | 2024-06-02 |