NPI | 1215381819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 14405) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003294) |
Enumeration Date | 2016-04-20 |
Last Update Date | 2016-04-20 |