NPI | 1821357575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD 0397) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 0397) |
Enumeration Date | 2012-05-15 |
Last Update Date | 2012-05-15 |