NPI | 1780310904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 279378) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 279507) |
Enumeration Date | 2022-07-29 |
Last Update Date | 2022-08-09 |