NPI | 1326272287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 2913) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 104226) |
Enumeration Date | 2009-05-07 |
Last Update Date | 2011-05-13 |