NPI | 1235255522 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3475) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 5731) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2015-10-06 |