NPI | 1528293669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 5216) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 4055) |
235Z00000X Speech-Language Pathologist, (Licence: NM C-4824) | |
Enumeration Date | 2009-05-19 |
Last Update Date | 2017-08-15 |