NPI | 1497052252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2151) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11566) |
Enumeration Date | 2011-02-14 |
Last Update Date | 2012-07-12 |