NPI | 1639346281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA sp10088) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14232) |
235Z00000X Speech-Language Pathologist, (Licence: FL SA18396) | |
Enumeration Date | 2008-05-13 |
Last Update Date | 2023-01-25 |