NPI | 1083063416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: HI 1474) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 109537) |
235Z00000X Speech-Language Pathologist, (Licence: CA 23571) | |
Enumeration Date | 2016-06-07 |
Last Update Date | 2016-06-07 |