NPI | 1790824746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12324) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2538) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2013-10-01 |