NPI | 1144488677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 4153) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004536) |
Enumeration Date | 2008-05-31 |
Last Update Date | 2018-05-04 |