NPI | 1144679259 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6378) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0000103) |
235Z00000X Speech-Language Pathologist, (Licence: MI L964049) | |
Enumeration Date | 2016-06-09 |
Last Update Date | 2020-01-06 |