NPI | 1013073410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME ME257071) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006489) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2010-05-19 |