NPI | 1275824005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0000113) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-3736) |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2011-04-27 |
Last Update Date | 2023-09-05 |