NPI | 1295066306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 4370) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019709) |
Enumeration Date | 2010-01-29 |
Last Update Date | 2019-07-31 |