NPI | 1891936381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008633) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1049) |
Enumeration Date | 2009-03-13 |
Last Update Date | 2015-10-12 |