NPI | 1336537182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV sp-1939) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 9473) |
Enumeration Date | 2015-01-02 |
Last Update Date | 2018-06-12 |