NPI | 1215059142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 974) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 429103) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2007-07-08 |