NPI | 1831725571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003276) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 77539) |
235Z00000X Speech-Language Pathologist, (Licence: NH 2156) | |
Enumeration Date | 2020-03-13 |
Last Update Date | 2024-11-07 |