NPI | 1477862159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009979) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 10-096) |
Enumeration Date | 2010-09-29 |
Last Update Date | 2024-04-14 |