NPI | 1508068412 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP 006456) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA 006456) |
Enumeration Date | 2007-06-03 |
Last Update Date | 2022-04-21 |