NPI | 1558743963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 11413) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: SC 5781) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2020-03-06 |