NPI | 1114300399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AK 266) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WA LL00003123) |
Enumeration Date | 2015-07-07 |
Last Update Date | 2015-07-07 |