NPI | 1740798339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SAH-2024-0120) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 220208371) |
Enumeration Date | 2018-01-17 |
Last Update Date | 2024-08-08 |