NPI | 1740413673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6610) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2641) |
Enumeration Date | 2009-08-26 |
Last Update Date | 2012-10-05 |