NPI | 1396089934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8787) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007677) |
Enumeration Date | 2012-11-20 |
Last Update Date | 2020-03-16 |