NPI | 1639312127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007756) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60078936) |
235Z00000X Speech-Language Pathologist, (Licence: NY 025430-1) | |
Enumeration Date | 2009-04-13 |
Last Update Date | 2016-02-15 |