NPI | 1821323817 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 01113) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146004521) |
Enumeration Date | 2009-10-08 |
Last Update Date | 2021-07-25 |