NPI | 1699958132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 417314) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NM R36450) |
Enumeration Date | 2007-12-06 |
Last Update Date | 2023-05-18 |