NPI | 1235266347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1787) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLPL5278) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2022-02-13 |