NPI | 1033520663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001441) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011606) |
Enumeration Date | 2014-05-16 |
Last Update Date | 2021-04-26 |