NPI | 1326271172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 4257-154) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 00019) |
235Z00000X Speech-Language Pathologist, (Licence: MO 107509) | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2009-08-27 |
Last Update Date | 2022-07-21 |