NPI | 1235371071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9266) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8091) |
Enumeration Date | 2009-03-25 |
Last Update Date | 2015-02-12 |