NPI | 1710003629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 7434) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005872A) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2015-12-08 |