NPI | 1417314923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP9583) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA 9583) |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2016-01-28 |
Last Update Date | 2019-09-12 |