NPI | 1205313376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 26078) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI 1585) |
Enumeration Date | 2018-07-23 |
Last Update Date | 2018-07-23 |