NPI | 1861631541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6340) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007011) |
Enumeration Date | 2009-02-19 |
Last Update Date | 2010-08-12 |