NPI | 1013169515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ 3636967) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ slpl5283) |
Enumeration Date | 2008-10-15 |
Last Update Date | 2008-10-15 |