NPI | 1578731253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP4353) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 4353) |
Enumeration Date | 2008-02-14 |
Last Update Date | 2022-03-11 |