NPI | 1003821489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16056) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202003834) |
235Z00000X Speech-Language Pathologist, (Licence: FL SA 9507) | |
235Z00000X Speech-Language Pathologist, (Licence: IL 146007914) | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2019-02-27 |