NPI | 1477885317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP7783) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP7783) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2017-03-09 |