NPI | 1295047546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3537) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007097) |
Enumeration Date | 2010-07-01 |
Last Update Date | 2019-08-28 |