NPI | 1033674056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-521) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14036040) |
Enumeration Date | 2019-02-04 |
Last Update Date | 2019-02-04 |