NPI | 1013344720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6737) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109587) |
Enumeration Date | 2013-09-27 |
Last Update Date | 2013-09-27 |