NPI | 1962650309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003382A) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY KY-2213) |
Enumeration Date | 2008-08-27 |
Last Update Date | 2008-08-27 |