NPI | 1417926320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10766) |
Additional Taxonomies | 231H00000X Audiologist (Licence: CO 01070846) |
235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001417) | |
Enumeration Date | 2006-03-14 |
Last Update Date | 2022-12-26 |