NPI | 1518364256 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60490718) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 15299) |
Enumeration Date | 2014-11-24 |
Last Update Date | 2014-11-24 |