NPI | 1447525308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5905) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA RPE 7380) |
235Z00000X Speech-Language Pathologist, (Licence: CA 20310) | |
Enumeration Date | 2012-03-12 |
Last Update Date | 2015-12-02 |