NPI | 1811016082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL016382) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP13115) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2024-09-06 |