NPI | 1174677801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 12775) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 11608) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2007-07-08 |