NPI | 1366713976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011008030) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0000055) |
Enumeration Date | 2012-01-13 |
Last Update Date | 2014-01-03 |