NPI | 1396040333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002146) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 17770) |
235Z00000X Speech-Language Pathologist, (Licence: OR 015167) | |
235Z00000X Speech-Language Pathologist, (Licence: WA LL60481212) | |
Enumeration Date | 2011-01-24 |
Last Update Date | 2022-04-13 |