NPI | 1023326816 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06753) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2010-09-15 |
Last Update Date | 2019-07-01 |