NPI | 1841529864 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10507) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ4891) |
Enumeration Date | 2009-12-22 |
Last Update Date | 2011-05-18 |