NPI | 1982086542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0000521) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 04517) |
Enumeration Date | 2015-06-19 |
Last Update Date | 2015-06-19 |