NPI | 1841329562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6503) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 6402) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2009-06-10 |