NPI | 1144623257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 21915) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2000172088) |
Enumeration Date | 2014-10-02 |
Last Update Date | 2014-10-02 |