NPI | 1003374232 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11540) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ 11540) |
Enumeration Date | 2019-03-06 |
Last Update Date | 2019-03-06 |