NPI | 1558536342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05663) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 5657) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2008-04-23 |