NPI | 1114468139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15241) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 22288) |
Enumeration Date | 2017-03-09 |
Last Update Date | 2017-03-09 |