NPI | 1154338838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 00880) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146004871) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2014-07-29 |