NPI | 1194813188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: LA 4885) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: LA 12069052) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2009-07-30 |