NPI | 1952599458 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SP585) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1595) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2023-06-26 |