NPI | 1326593732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA SP-9837-SL) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006267A) |
235Z00000X Speech-Language Pathologist, (Licence: NC 11718) | |
Enumeration Date | 2016-08-16 |
Last Update Date | 2016-08-16 |