NPI | 1598944464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 4211) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 24659) |
Enumeration Date | 2007-10-29 |
Last Update Date | 2007-10-29 |