NPI | 1336518612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14855) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7336) |
Enumeration Date | 2015-09-17 |
Last Update Date | 2016-10-04 |