NPI | 1457696338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 00003548) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 10883) |
Enumeration Date | 2012-12-04 |
Last Update Date | 2012-12-04 |