NPI | 1740964089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003605) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011412) |
Enumeration Date | 2023-06-14 |
Last Update Date | 2025-01-14 |