NPI | 1396393799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 2006032) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC Processing) |
Enumeration Date | 2019-08-28 |
Last Update Date | 2019-08-30 |