NPI | 1295212082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11330) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ tslp11330) |
Enumeration Date | 2018-07-24 |
Last Update Date | 2019-09-12 |