NPI | 1437307238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 13400) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 17042) |
235Z00000X Speech-Language Pathologist, (Licence: WA LL60197767) | |
Enumeration Date | 2008-09-04 |
Last Update Date | 2013-01-02 |