NPI | 1285083006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13232) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP9972) |
Enumeration Date | 2016-06-13 |
Last Update Date | 2020-01-01 |