NPI | 1073923447 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15113) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP2108) |
235Z00000X Speech-Language Pathologist, (Licence: GA SLP007067) | |
235Z00000X Speech-Language Pathologist, (Licence: CA sp20470) | |
235Z00000X Speech-Language Pathologist, (Licence: NV SP-2108) | |
Enumeration Date | 2014-05-06 |
Last Update Date | 2024-04-02 |