NPI | 1508254459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3828) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8348) |
Enumeration Date | 2014-12-30 |
Last Update Date | 2014-12-30 |