NPI | 1831386580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30001828) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9034) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2023-10-10 |