NPI | 1972360493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0012328) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 35799) |
235Z00000X Speech-Language Pathologist, (Licence: FL 20247) | |
235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00441500) | |
Enumeration Date | 2024-03-01 |
Last Update Date | 2024-03-01 |