NPI | 1295069946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9898) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1087) |
235Z00000X Speech-Language Pathologist, (Licence: MN 9409) | |
235Z00000X Speech-Language Pathologist, (Licence: SD 319-SLP) | |
235Z00000X Speech-Language Pathologist, (Licence: CA SP 24272) | |
Enumeration Date | 2009-09-29 |
Last Update Date | 2016-09-07 |