NPI | 1306279625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14047739) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13533) |
235Z00000X Speech-Language Pathologist, (Licence: NV SP-1321) | |
235Z00000X Speech-Language Pathologist, (Licence: NC 12980) | |
Enumeration Date | 2013-08-11 |
Last Update Date | 2022-10-11 |