NPI | 1366822108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1549) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 3764) |
Enumeration Date | 2015-06-07 |
Last Update Date | 2015-06-07 |