NPI | 1295927143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP5583) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006031) |
Enumeration Date | 2007-08-15 |
Last Update Date | 2007-08-15 |