NPI | 1275955387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP3209) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 00497511) |
Enumeration Date | 2014-01-08 |
Last Update Date | 2014-01-08 |