NPI | 1760956932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 11363) |
Enumeration Date | 2019-01-21 |
Last Update Date | 2025-03-03 |