NPI | 1841554417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP7809) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP7809) |
Enumeration Date | 2012-06-28 |
Last Update Date | 2024-02-06 |