NPI | 1104800119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: PA SL005969 L) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL005969 L) |
Enumeration Date | 2005-12-02 |
Last Update Date | 2007-07-08 |