NPI | 1295871465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003344) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: AZ 0862) |
235Z00000X Speech-Language Pathologist, (Licence: AZ SLP4633) | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2022-09-01 |