NPI | 1235396763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11272) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7846) |
235Z00000X Speech-Language Pathologist, (Licence: CA 31490) | |
Enumeration Date | 2008-05-21 |
Last Update Date | 2022-02-18 |