NPI | 1194879742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 4059) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP 4515) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2015-01-28 |