NPI | 1457621971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010626) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103856) |
Enumeration Date | 2012-01-02 |
Last Update Date | 2012-01-02 |