NPI | 1366733891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 13362) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60315236) |
Enumeration Date | 2011-05-02 |
Last Update Date | 2014-01-03 |