NPI | 1669651535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP4435) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: NM C-4223) |
Enumeration Date | 2007-10-29 |
Last Update Date | 2023-12-14 |