NPI | 1215045612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 952) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 107658) |
Enumeration Date | 2006-08-26 |
Last Update Date | 2009-05-28 |