NPI | 1003939208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015957) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146006868) |
235Z00000X Speech-Language Pathologist, (Licence: CA 25397) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-03-16 |