NPI | 1699109975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK SLPS539) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2013-08-22 |
Last Update Date | 2018-09-17 |