NPI | 1194944074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AR SP1434) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TN 4720) |
235Z00000X Speech-Language Pathologist (Licence: MS S3645) | |
Enumeration Date | 2007-04-25 |
Last Update Date | 2012-05-30 |