NPI | 1336261791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 7856) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP0367) |
Enumeration Date | 2007-04-05 |
Last Update Date | 2007-07-08 |