NPI | 1619355971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI Sp-1676) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH Sp.11614) |
235Z00000X Speech-Language Pathologist, (Licence: TX 105114) | |
Enumeration Date | 2015-05-07 |
Last Update Date | 2024-02-12 |