NPI | 1437202454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 1079) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 5031) |
Enumeration Date | 2007-01-21 |
Last Update Date | 2007-07-08 |