NPI | 1245280684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9234) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2158) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2007-10-04 |