NPI | 1083963557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12659) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5918) |
Enumeration Date | 2012-08-30 |
Last Update Date | 2016-03-04 |