NPI | 1245405083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP4563) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP-7737) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2012-01-20 |