NPI | 1396991568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001111) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6539) |
Enumeration Date | 2008-08-07 |
Last Update Date | 2011-04-21 |