NPI | 1952854622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 014088) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60392797) |
235Z00000X Speech-Language Pathologist, (Licence: HI SP 1395) | |
235Z00000X Speech-Language Pathologist, (Licence: CA SP 22067) | |
Enumeration Date | 2016-07-29 |
Last Update Date | 2016-07-29 |