NPI | 1154711257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11121) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 4532) |
Enumeration Date | 2015-01-27 |
Last Update Date | 2015-01-27 |