NPI | 1063536357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7104) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S2862) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2014-08-13 |