NPI | 1134551674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 1827) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 108673) |
235Z00000X Speech-Language Pathologist, (Licence: CA 20737) | |
Enumeration Date | 2013-08-07 |
Last Update Date | 2013-08-07 |