NPI | 1467643841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC 01004458/ASHA #) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 2972) |
Enumeration Date | 2007-08-09 |
Last Update Date | 2007-08-09 |