NPI | 1073631685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 2884) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202001887) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2010-08-13 |