NPI | 1609170141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: CO 70712246) |
Additional Taxonomies | 174H00000X Health Educator (Licence: CO 0454429) |
Enumeration Date | 2010-12-25 |
Last Update Date | 2010-12-25 |