NPI | 1194759795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 619) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 1194759795) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2020-02-26 |