NPI | 1851769566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6696) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109820) |
Enumeration Date | 2015-09-11 |
Last Update Date | 2015-09-11 |