NPI | 1578948998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001469) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008330) |
Enumeration Date | 2015-07-27 |
Last Update Date | 2015-07-27 |