NPI | 1740486125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 01022) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 01711) |
Enumeration Date | 2007-06-22 |
Last Update Date | 2007-07-08 |