NPI | 1235260159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 316) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2006008747) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2007-07-08 |