NPI | 1053706846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00887) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 004469) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2015-03-30 |