NPI | 1144601477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA SLP.LL.60725886) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP9443) |
Enumeration Date | 2015-06-11 |
Last Update Date | 2017-02-15 |