NPI | 1497892715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7173) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP4723) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2023-10-05 |