NPI | 1518252642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001020) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008942) |
Enumeration Date | 2011-06-16 |
Last Update Date | 2011-06-16 |