NPI | 1912029372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC 000284) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004264A) |
235Z00000X Speech-Language Pathologist, (Licence: MD 06308) | |
Enumeration Date | 2007-04-05 |
Last Update Date | 2013-10-03 |