NPI | 1538565908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV 1749) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 1505141) |
Enumeration Date | 2014-11-13 |
Last Update Date | 2017-03-27 |