NPI | 1326431503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 4780) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1110) |
Enumeration Date | 2015-03-11 |
Last Update Date | 2015-03-11 |