NPI | 1184970931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11766) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5499) |
Enumeration Date | 2012-07-31 |
Last Update Date | 2012-11-20 |