NPI | 1376879668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008661) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010061) |
Enumeration Date | 2009-10-21 |
Last Update Date | 2014-10-20 |