NPI | 1467752162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 18452) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 8136) |
Enumeration Date | 2010-10-27 |
Last Update Date | 2024-01-29 |