NPI | 1851794663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS 3588) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4580) |
Enumeration Date | 2014-10-07 |
Last Update Date | 2023-04-04 |