NPI | 1003059148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA 15568) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 017067) |
Enumeration Date | 2009-04-17 |
Last Update Date | 2013-09-08 |