NPI | 1265532667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7928) |
Additional Taxonomies | 174400000X Specialist (Licence: FL SA7928) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2012-03-30 |