NPI | 1770846081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-3189) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 328) |
235Z00000X Speech-Language Pathologist, (Licence: IL 146.012043) | |
235Z00000X Speech-Language Pathologist, (Licence: MO 2009004968) | |
Enumeration Date | 2012-06-21 |
Last Update Date | 2023-02-02 |