NPI | 1083857478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA SI60042650) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 18088) |
235Z00000X Speech-Language Pathologist, (Licence: AZ SLP15085) | |
Enumeration Date | 2009-04-14 |
Last Update Date | 2024-09-06 |