NPI | 1396293106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 32237) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 00003288) |
Enumeration Date | 2016-09-21 |
Last Update Date | 2016-09-21 |