NPI | 1083079172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001503) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011824) |
Enumeration Date | 2015-12-16 |
Last Update Date | 2015-12-16 |