NPI | 1346430881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001291) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004515) |
Enumeration Date | 2007-07-31 |
Last Update Date | 2018-09-13 |