NPI | 1427490200 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 27811) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011703) |
235Z00000X Speech-Language Pathologist, (Licence: VA 2202009254) | |
Enumeration Date | 2013-07-22 |
Last Update Date | 2020-09-01 |