NPI | 1932653789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 996) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016009648) |
235Z00000X Speech-Language Pathologist, (Licence: KS 3903) | |
Enumeration Date | 2016-08-10 |
Last Update Date | 2016-08-10 |