NPI | 1104075662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 1923 - 154) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 1923-154) |
Enumeration Date | 2008-09-09 |
Last Update Date | 2008-09-09 |