NPI | 1538288121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 12026788) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 4659) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2007-07-08 |