NPI | 1457415226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6953) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 13697) |
235Z00000X Speech-Language Pathologist, (Licence: WA LL60502109) | |
235Z00000X Speech-Language Pathologist, (Licence: CA SP10057) | |
Enumeration Date | 2006-12-19 |
Last Update Date | 2020-02-01 |