NPI | 1396073235 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11901) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019654) |
235Z00000X Speech-Language Pathologist, (Licence: LA 7574) | |
235Z00000X Speech-Language Pathologist, (Licence: ME SP2780) | |
Enumeration Date | 2009-12-04 |
Last Update Date | 2023-12-12 |