NPI | 1922286863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3061) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 3231) |
Enumeration Date | 2008-02-01 |
Last Update Date | 2010-11-16 |