NPI | 1477826998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14864) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP7461) |
235Z00000X Speech-Language Pathologist, (Licence: IL 146.014662) | |
Enumeration Date | 2012-02-14 |
Last Update Date | 2022-08-09 |