NPI | 1356748867 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC 000773) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07020) |
Enumeration Date | 2014-11-26 |
Last Update Date | 2014-11-26 |