NPI | 1548417793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 18524) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.000937) |
Enumeration Date | 2008-08-19 |
Last Update Date | 2019-11-27 |