NPI | 1871860387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 8316) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ 7530) |
Enumeration Date | 2011-11-28 |
Last Update Date | 2011-11-28 |