NPI | 1528280161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12708) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 120265516) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2018-02-06 |