NPI | 1972838795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003099A) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9698) |
Enumeration Date | 2009-10-13 |
Last Update Date | 2024-11-07 |