NPI | 1194012724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3487-154) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8729) |
Enumeration Date | 2011-07-04 |
Last Update Date | 2011-07-04 |