NPI | 1275077463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15849) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1470) |
Enumeration Date | 2016-12-07 |
Last Update Date | 2016-12-07 |