NPI | 1114080900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 4626) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 6404) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2010-08-26 |