NPI | 1114350824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO .0002344) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 116151) |
Enumeration Date | 2013-08-16 |
Last Update Date | 2017-01-12 |