NPI | 1346427499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 00642306) |
Additional Taxonomies | 174400000X Specialist (Licence: CO #27) |
174400000X Specialist (Licence: CO E1220) | |
235Z00000X Speech-Language Pathologist, (Licence: HI SP-434) | |
Enumeration Date | 2008-01-30 |
Last Update Date | 2008-01-30 |