NPI | 1790215911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 27817) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2017-06-20 |
Last Update Date | 2019-02-20 |