NPI | 1336264308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6277) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4760) |
247200000X Technician, Other | |
Enumeration Date | 2007-03-20 |
Last Update Date | 2024-11-14 |