NPI | 1578704748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007139) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA PCET001362) |
Enumeration Date | 2009-03-17 |
Last Update Date | 2009-08-13 |