NPI | 1417385105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015176) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1317) |
Enumeration Date | 2013-10-16 |
Last Update Date | 2013-10-16 |