NPI | 1437303252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13475) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.000755) |
Enumeration Date | 2008-11-06 |
Last Update Date | 2016-05-16 |