NPI | 1194037077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11058) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5090) |
235Z00000X Speech-Language Pathologist, (Licence: IL 146.013160) | |
Enumeration Date | 2010-07-08 |
Last Update Date | 2016-07-21 |