NPI | 1669122024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MT SLP-SP-LIC-10630) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2022-03-28 |
Last Update Date | 2024-10-01 |