NPI | 1285065565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VT 8051732) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: ASHA) |
235Z00000X Speech-Language Pathologist (Licence: 12017687) | |
Enumeration Date | 2013-12-11 |
Last Update Date | 2014-02-23 |