NPI | 1578874954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP 4450) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22002800A) |
Enumeration Date | 2010-06-30 |
Last Update Date | 2022-03-01 |