NPI | 1497935571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07104) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0000926) |
Enumeration Date | 2007-11-06 |
Last Update Date | 2013-07-22 |