NPI | 1467843888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101004996) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001826) |
Enumeration Date | 2015-02-06 |
Last Update Date | 2023-04-25 |