NPI | 1083150338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9778) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID 3001) |
Enumeration Date | 2017-01-10 |
Last Update Date | 2017-01-10 |