NPI | 1316490139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 0003) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 3) |
Enumeration Date | 2016-07-28 |
Last Update Date | 2016-07-28 |