NPI | 1295038537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012293) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001443) | |
Enumeration Date | 2010-12-08 |
Last Update Date | 2022-12-07 |