NPI | 1518090505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2386) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 12072079) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2011-10-07 |