NPI | 1851506687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0340967) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2007-05-14 |
Last Update Date | 2007-07-08 |