NPI | 1134328677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0000713) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL004932L) |
Enumeration Date | 2007-07-14 |
Last Update Date | 2012-10-18 |