NPI | 1861745812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 9116) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3423) |
Enumeration Date | 2012-10-15 |
Last Update Date | 2024-05-06 |