NPI | 1902669369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004501) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1000) |
Enumeration Date | 2024-01-30 |
Last Update Date | 2025-09-30 |