NPI | 1992542807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012179) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 8740) |
Enumeration Date | 2024-07-09 |
Last Update Date | 2025-10-10 |