NPI | 1821297300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-004407) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 01132) |
235Z00000X Speech-Language Pathologist, (Licence: CA MA7678) | |
Enumeration Date | 2007-07-13 |
Last Update Date | 2007-07-13 |