NPI | 1629461454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0012410) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2015-03-18 |
Last Update Date | 2024-09-10 |