NPI | 1174672570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9463) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ3947) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2017-10-16 |