NPI | 1578870226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010431) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06344) |
Enumeration Date | 2010-09-01 |
Last Update Date | 2024-02-13 |