NPI | 1699254797 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 4555) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2018027954) |
Enumeration Date | 2018-08-09 |
Last Update Date | 2025-08-05 |