NPI | 1083698708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7564) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146006162) |
Enumeration Date | 2005-12-06 |
Last Update Date | 2008-02-05 |