NPI | 1831329846 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 18460) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16863) |
235Z00000X Speech-Language Pathologist, (Licence: FL SZ4599) | |
Enumeration Date | 2009-07-24 |
Last Update Date | 2020-02-10 |