NPI | 1306197173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC 000514) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06486) |
Enumeration Date | 2012-09-19 |
Last Update Date | 2012-09-19 |