NPI | 1639302144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 15040) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7150) |
235Z00000X Speech-Language Pathologist, (Licence: PR 901) | |
Enumeration Date | 2009-08-31 |
Last Update Date | 2016-11-30 |