NPI | 1023461464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15813) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7640) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2017-12-11 |