NPI | 1114012424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22001669A) |
Additional Taxonomies | 231H00000X Audiologist (Licence: IN 23001669A) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2010-12-06 |