NPI | 1962805895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 16062) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP 742) |
Enumeration Date | 2014-10-07 |
Last Update Date | 2014-10-07 |