NPI | 1538393756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0000229) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 11263) |
Enumeration Date | 2009-05-04 |
Last Update Date | 2024-08-06 |