NPI | 1245631704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 13123) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 023781-1) |
Enumeration Date | 2014-09-15 |
Last Update Date | 2014-09-15 |