NPI | 1164679239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S2867) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 5462) |
Enumeration Date | 2008-08-20 |
Last Update Date | 2008-08-20 |