NPI | 1316181415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 24435529) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8462) |
235Z00000X Speech-Language Pathologist, (Licence: SC 5321) | |
Enumeration Date | 2009-04-21 |
Last Update Date | 2024-01-24 |