NPI | 1326239252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1705) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.000623) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2014-06-24 |