NPI | 1801627484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2025033269) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 5) |
Enumeration Date | 2024-08-13 |
Last Update Date | 2025-08-14 |