NPI | 1922419795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 98294) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 1549) |
Enumeration Date | 2014-05-15 |
Last Update Date | 2014-05-15 |