NPI | 1609178631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 003767) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 309) |
Enumeration Date | 2010-11-23 |
Last Update Date | 2010-11-23 |