NPI | 1497020903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001258) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012302) |
Enumeration Date | 2012-03-16 |
Last Update Date | 2016-08-26 |