NPI | 1407220650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 24020) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 025286) |
Enumeration Date | 2015-11-25 |
Last Update Date | 2021-11-17 |