NPI | 1194854166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ Slp5101) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA6306) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2014-06-27 |