NPI | 1063797181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16340) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 19952) |
235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002176) | |
235Z00000X Speech-Language Pathologist, (Licence: NY 023364) | |
Enumeration Date | 2011-10-20 |
Last Update Date | 2018-12-10 |