NPI | 1588837827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60044302) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2972-154) |
Enumeration Date | 2008-04-08 |
Last Update Date | 2010-08-11 |