NPI | 1144570821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15323) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146009441) |
235Z00000X Speech-Language Pathologist, (Licence: TX 103257) | |
Enumeration Date | 2012-09-11 |
Last Update Date | 2023-04-25 |