NPI | 1235116740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR OR12305) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 12305) |
235Z00000X Speech-Language Pathologist, (Licence: FL SA5922) | |
Enumeration Date | 2005-12-27 |
Last Update Date | 2007-07-08 |