NPI | 1205124211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60601617) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 106150) |
235Z00000X Speech-Language Pathologist, (Licence: MO 2011015506) | |
Enumeration Date | 2011-07-12 |
Last Update Date | 2018-06-16 |