NPI | 1073837878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10302) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006443) |
Enumeration Date | 2010-03-23 |
Last Update Date | 2010-03-23 |