NPI | 1932395993 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4215) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 5985) |
Enumeration Date | 2007-09-23 |
Last Update Date | 2007-11-09 |