NPI | 1295953677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 1155) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 001973) |
235Z00000X Speech-Language Pathologist, (Licence: NY 011377) | |
Enumeration Date | 2007-04-23 |
Last Update Date | 2007-07-08 |