NPI | 1861803413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3017) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2008015655) |
Enumeration Date | 2014-05-16 |
Last Update Date | 2014-05-16 |