NPI | 1174949564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003764) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA ll60447925) |
Enumeration Date | 2014-03-10 |
Last Update Date | 2019-12-03 |