NPI | 1265617989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06887) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ4409) |
Enumeration Date | 2007-12-31 |
Last Update Date | 2021-06-02 |