NPI | 1831238229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-2180) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8805) |
235Z00000X Speech-Language Pathologist, (Licence: WA LL00002908) | |
235Z00000X Speech-Language Pathologist, (Licence: SC SLP.5227) | |
Enumeration Date | 2007-02-05 |
Last Update Date | 2022-01-03 |