NPI | 1073846432 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 10447) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 4365) |
Enumeration Date | 2009-09-16 |
Last Update Date | 2020-07-02 |