NPI | 1508957937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP6112) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MN 7084) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2009-11-10 |