NPI | 1932670742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 01569) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 015696) |
Enumeration Date | 2018-12-06 |
Last Update Date | 2018-12-06 |