NPI | 1316360498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 00002424) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1633) |
Enumeration Date | 2014-01-27 |
Last Update Date | 2017-02-21 |