NPI | 1417113879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8387) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 4283) |
Enumeration Date | 2008-08-05 |
Last Update Date | 2024-05-08 |