NPI | 1114209509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011013597) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2888) |
Enumeration Date | 2011-09-13 |
Last Update Date | 2011-09-13 |