NPI | 1992072276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001331) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013852) |
Enumeration Date | 2011-11-30 |
Last Update Date | 2021-02-11 |