NPI | 1275058828 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017027201) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 12967) |
Enumeration Date | 2017-08-04 |
Last Update Date | 2019-01-17 |