NPI | 1942468095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.009599) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 001846) |
Enumeration Date | 2008-05-27 |
Last Update Date | 2008-12-11 |