NPI | 1093018624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002286) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010340) |
Enumeration Date | 2010-12-21 |
Last Update Date | 2020-01-27 |