NPI | 1457747602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001447) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012301) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2015-04-14 |