NPI | 1144420407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8186) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7109) |
235Z00000X Speech-Language Pathologist, (Licence: WA LL00004625) | |
235Z00000X Speech-Language Pathologist, (Licence: AZ 8186) | |
Enumeration Date | 2007-07-24 |
Last Update Date | 2020-10-16 |