NPI | 1881858488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 4102) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3076) |
235Z00000X Speech-Language Pathologist, (Licence: CA 18672) | |
Enumeration Date | 2008-07-12 |
Last Update Date | 2016-08-16 |