NPI | 1902537772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 11568) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT 206) |
Enumeration Date | 2022-06-22 |
Last Update Date | 2023-04-15 |