NPI | 1114131885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 4459) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2007-05-10 |
Last Update Date | 2019-07-08 |