NPI | 1780869461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 8306) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S2075) |
Enumeration Date | 2007-12-31 |
Last Update Date | 2019-08-22 |