NPI | 1578099685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TN 7881) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: KY 172804) |
Enumeration Date | 2017-05-10 |
Last Update Date | 2023-03-08 |